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Legacy Village Hq, LLC

Substance Abuse Rehabilitation Facility in Boise, ID · enumerated 2023 · authorized official Dennis Farmer, Chief Executive Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1275225310

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Registry record

Entity type Organization (Type 2)
Legal business name Legacy Village Hq, LLC
Practice address 800 W Main St Ste 1460, Boise, ID, 83702
Phone (800) 997-6977
Fax (661) 489-0573
Enumeration date May 25, 2023
Last updated in NPPES May 25, 2023

Taxonomy & classification

261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center) Ambulatory Health Care Facilities Secondary
324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities Primary

Authorized official

Name Dennis Farmer
Title Chief Executive Officer
Phone (800) 997-6977

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Legacy Village Hq, LLC?
Legacy Village Hq, LLC is registered in NPPES as a Substance Abuse Rehabilitation Facility (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-05-25.